Vivace Vein Centers LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VIVACE VEIN CENTERS LLC

Practice address

1375 E 800 N
Suite 205
Orem, UT 84097-4435

Phone

(801) 785-1701

Fax

(801) 404-5781

NPI assigned

Nov 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Wood

Title

President

Phone

(801) 785-1701

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew J. Wood, MD

  • Anesthesiology Physician
  • Nampa, ID
  • NPI 1053481531

  Vascular Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932279403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E 800 N",
            "address_2": "SUITE 205",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974435",
            "telephone_number": "801-785-1701",
            "fax_number": "801-404-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E 800 N",
            "address_2": "SUITE 205",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974435",
            "telephone_number": "801-785-1701",
            "fax_number": "801-404-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVACE VEIN CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-785-1701"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Vincent, LCSW
• Vision Experts Inc. (Knighton Vision)
• Visionworks, Inc (Visionworks)
• Vital Lymphatic Therapy LLC
• Vital Touch, LLC
• Gracie Louise Voeks, RD
• Samantha Lynn Vogel, PA-S
• Meghan Nicole Voll
• Emma Lou Waddell, PA-C
• Lillian Waddell

• Vascular Surgery Physician in Orem, UT
• Providers in Orem, UT by specialty
• Vascular Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.